JP2006085684A - Electronic medical certificate creation support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a system easily issuing a medical certificate in a medical organization and reducing a load on a procedure of a benefit request of a patient. <P>SOLUTION: This electronic medical certificate creation support system is provided with: a certificate creation handling table for storing presence/absence of input of items on the basis of certificate type for items necessary for certificate creation; and a certificate format data file for storing the certificate format data by relating them to the certificate types. The certificate creation handling table is searched according to the certificate type in certificate issue request data for certificate creation, a certificate creation screen formed so as to display only input items corresponding to a certificate form is displayed, certificate creation data are received and the format data are extracted from the certificate format data file, and a certificate display screen created by writing the certificate creation data is displayed. The created electronic certificate is encrypted, and transmitted to an insurance operator server or a relay server by being related to a separately-encrypted benefit bill. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a system for issuing various medical certificates in a medical institution, and further relates to a system for improving the efficiency of issuing and sending a medical certificate related to a hospitalization benefit claim.

  Medical institutions provide medical certificates required for lost work (compensation) benefits from workers' compensation insurance, progress medical certificates for claiming insurance for self-responsibility insurance, hospitalization / surgical benefits for medical insurance by simple insurance and private insurance companies Various types of medical certificates, such as hospitalization certificate (medical certificate) for claiming, death medical certificate for claiming death insurance, etc. are issued at the request of patients and families. In this way, medical certificates issued by medical institutions have various types of medical certificates depending on their use, and the forms and entries vary from insurance provider to insurance type. When a doctor receives a request, the fact is that a medical certificate is created by hand-filling the designated form one by one.

  On the other hand, when a patient (the “claimee” who claims the benefit related to the insured under the insurance contract) claims the benefit from the insurance business operator, the patient first contacts the insurance business operator to pay the benefit. You must obtain an invoice form and a medical certificate form, fill out the necessary items on the benefit claim form, submit the medical certificate form to a medical institution, and ask the doctor in charge to issue a medical certificate. Normally, patients have to wait one to two weeks before issuing a medical certificate. When a medical certificate is issued, the patient obtains a medical certificate by going to a medical institution again and insures the completed benefit claim. By sending it to the operator, the procedure for claiming the benefit of the insurance operator was finally started.

  Therefore, in recent years, a system that implements insurance claims and payments using a computer and a network has been studied.

  As a first prior art, in Japanese Patent Application Laid-Open No. 2002-109042 “Medical Benefit Procedure Service Method” published on April 12, 2002, a benefit claim intermediary server receives benefit claim information from a network PC. The service that receives the healing certificate from the medical institution server, sends the claim information to the medical insurance institution, and claims the medical benefit is described. In particular, the medical benefit is provisionally calculated from the contents of the medical insurance contract. In addition, a service is described in which the transfer procedure is performed as a loan to the contractor before payment of the benefit.

  As a second prior art, Japanese Patent Application Laid-Open No. 2002-259557, “Benefit Payment System, Benefit Payment Method and Benefit Payment Program” published on September 13, 2002, the user terminal of the claimant is an insurance company terminal. The insurance company terminal sends a request for certification to the medical institution terminal, and obtains approval information from the attending physician and performs a procedure for payment of the benefit.

As a third prior art, Japanese Patent Application Laid-Open No. 2002-297911 “Insurance Payment System, Insurance Payment Method, and Insurance Payment Server” published on October 11, 2002 from a customer side terminal via the Internet The claim information is entered on the insurance claim input screen on the server, the server authenticates the hospital terminal, and the customer information is entered on the diagnostic record input screen at the hospital terminal to perform the insurance payment procedure. Has been.
JP 2002-109042 A JP 2002-259557 A JP 2002-297911 A

  As described above, the preparation of a medical certificate in a medical institution relies heavily on a doctor's handwriting, which takes a lot of time and effort, and is a heavy burden for the doctor. In particular, when a patient requests multiple benefits per hospitalization, it is very difficult for a doctor to create multiple medical certificates in different forms for each insurance company at once.

  On the other hand, when a patient makes a claim for benefits to an insurance company, such as ordering documents for claiming benefits, preparing documents, arranging a medical certificate, sending a benefit invoice and medical certificate to the insurance business, etc. There were problems in that it had to go through several steps, and the procedure was cumbersome and time consuming.

  In addition, insurance companies sometimes send only a benefit bill from a patient, and then a separate medical certificate may be sent, and the association between the benefit bill and the medical certificate is difficult due to administrative processing. There was a problem that the procedure was delayed due to the work.

  In the first to third prior arts described above, no solution means for reducing the burden on the doctor for creating the medical certificate is disclosed.

  Furthermore, in the first to third prior arts, it cannot be realized unless the hospitalization benefit claim system is completely renewed, and it is not a system that can be realized by taking over the previous system. Since the system does not coexist, there is a problem that the transition to the new system cannot be realized easily.

  The present invention has been made to solve the above-mentioned problems, and a first object of the present invention is to reduce the burden on the doctor by enabling easy and speedy issuance of a medical certificate in a medical institution. The purpose of this is to provide a system that reduces the burden of the procedures for claiming the benefits of patients, and the third purpose is to automatically insure insurance by associating digitized benefit claims with medical certificates. Reducing the burden on insurance providers by providing systems that can be received by operators, and systems that achieve these objectives can coexist with conventional systems and are relatively easy to introduce to medical institutions. It is assumed that it is easy.

  In addition to medical certificates, medical institutions also issue and create referral letters and discharge summaries for other medical institutions that contain the same information as medical certificates. Accordingly, when the term medical certificate is used in the present specification and claims, the medical certificate includes a letter of introduction and a discharge summary.

    The medical certificate creation support system according to the first aspect of the present invention includes a medical institution server, a medical management terminal, and a doctor terminal that can communicate with each other through a network. The medical management terminal receives a medical certificate issuance request from a patient. The medical certificate issuance request data input means for inputting the medical certificate issuance request data including the medical certificate type ID for specifying the patient ID / medical certificate format and the medical doctor data in charge, and the medical certificate issuance request data input to the medical institution A medical certificate issuance request data transmission means for transmitting to the server, and the doctor terminal logs in the medical institution server by inputting the password by the doctor and is generated and transmitted for the doctor transmitted from the medical institution server The medical institution server is provided with a medical certificate preparation data transmitting means for transmitting data necessary for medical certificate preparation to the medical institution server. The medical certificate issuance request data received from the end is assigned to each requested medical certificate, a medical certificate issuance request data table stored for each requested document ID, and all necessary items for creating a medical certificate On the other hand, a medical certificate creation correspondence table that stores the presence or absence of input of items for each medical certificate type ID, a medical certificate format data file that stores the medical certificate format data in association with the medical certificate type ID, and a doctor terminal login The medical certificate issuance request data table is searched based on the name of the logged-in doctor, and if there is medical certificate issuance request data for the doctor name, a medical certificate creation request list screen is created to prompt the doctor to create a medical certificate. Then, the doctor enters using the medical certificate creation request list screen transmission means that transmits to the doctor terminal for display and the medical certificate creation request list screen displayed on the doctor terminal. The medical certificate creation start request is received, the medical certificate creation correspondence table is searched based on the medical certificate type ID in the medical certificate issuance request data, and only the input items corresponding to the medical certificate form are displayed. Create the medical certificate creation screen and send it to the doctor terminal for display. The medical certificate creation screen transmission means and the medical certificate creation data entered using the medical certificate creation screen transmitted from the doctor terminal. A medical certificate generation display that receives and extracts the corresponding format data from the medical certificate format data file and writes the medical certificate creation data to generate a medical certificate display screen and send it to the doctor terminal for display or printing A medical certificate registration request transmitted from the doctor terminal is received based on the transmitted medical certificate display screen, and the medical certificate data is converted into an electronic medical certificate file. And an electronic medical certificate storage means for storing in association with the request document ID Te.

  The medical institution server according to the first aspect of the present invention provides a medical certificate issuance including a medical certificate type ID for specifying a patient ID / medical certificate format input in response to a medical certificate issuance request from a patient and medical data in charge. Request data is assigned to each requested medical certificate, and a medical certificate issuance request data table is stored for each requested document ID, and for each medical certificate type ID for all items necessary for creating a medical certificate. Search the medical certificate creation correspondence table that stores the presence / absence of entry of items, the medical certificate format data file that stores the medical certificate format data in association with the medical certificate type ID, and the medical certificate issuance request data table. Creates and displays a medical certificate creation request list screen that prompts the creation of a medical certificate every time, and displays a medical certificate creation request list screen creation display screen and a displayed medical certificate creation request list screen The medical certificate creation start request input by the doctor using the medical certificate is received, the medical certificate creation correspondence table is searched based on the medical certificate type ID in the medical certificate issuance request data, and the input item corresponding to the medical certificate form Creates and displays a medical certificate creation screen that displays only the medical certificate creation screen and displays the medical certificate creation data input using the medical certificate creation screen By extracting the corresponding format data from the file and writing the medical certificate preparation data, the medical certificate generation display means for generating the medical certificate display screen for display or printing, and the medical certificate input based on the medical certificate display screen Electronic medical certificate storage means for receiving the registration request and storing the medical certificate data in association with the requested document ID as an electronic medical certificate file.

  In addition, the medical institution server related to the first aspect according to the present invention provides a diagnosis including a medical certificate type ID for specifying a patient ID and a medical certificate format inputted in response to a medical certificate issuance request from a patient, and medical doctor data in charge. A certificate issuance request data is assigned to each requested medical certificate, a medical certificate issuance request data table is stored for each requested document ID, and a medical certificate type for all items necessary for creating a medical certificate. A medical certificate creation correspondence table that accumulates the presence / absence of input of items for each ID, a medical certificate format data file that accumulates the medical certificate format data in association with the medical certificate type ID, and a medical certificate creation start request input by a doctor Receive and search the medical certificate creation correspondence table based on the medical certificate type ID in the medical certificate issuance request data, and display only the input items corresponding to the medical certificate form Create and display a medical certificate creation screen to display the medical certificate creation screen creation display means, and receive the medical certificate creation data entered using the medical certificate creation screen, and apply from the medical certificate format data file By extracting the format data and writing the medical certificate creation data, a medical certificate generation display means for generating or displaying a medical certificate display screen and a medical certificate registration request input based on the medical certificate display screen Electronic medical certificate storage means for receiving and storing the medical certificate data as an electronic medical certificate file in association with the requested document ID is provided.

  According to the configuration of the medical certificate creation support system or medical institution server according to the first aspect described above, the doctor can input only the necessary items without being aware of the format difference for each medical certificate, A medical certificate can be created.

  The medical certificate creation support system according to the second aspect of the present invention includes a medical institution server, a medical management terminal, and a doctor terminal that can communicate with each other through a network, and the medical management terminal issues a medical certificate issuance request from a patient. The medical certificate issuance request data input means for inputting the medical certificate issuance request data including the medical certificate type ID for specifying the patient ID / medical certificate format and the medical doctor data in charge, and the medical certificate issuance request data input to the medical institution A medical certificate issuance request data transmission means for transmitting to the server, and the doctor terminal logs in the medical institution server by inputting the password by the doctor and is generated and transmitted for the doctor transmitted from the medical institution server The medical institution server is equipped with medical certificate management data transmission means for transmitting data necessary for medical certificate preparation to the medical institution server. The medical certificate issuance request data received from the end is assigned with a requested document ID for each requested medical certificate, and the medical certificate issuance request data table stored for each requested document ID and the medical certificate in association with the medical certificate type ID The medical certificate format image data file that stores the format image data, and includes the input item number, the type of the input item, the content of the input item, the position and size of the input item in association with the medical certificate type ID The medical certificate input item file for storing the input item data and the login of the doctor terminal are received, the medical certificate issuance request data table is searched based on the logged-in doctor name, and the medical certificate issuance request data of the doctor name is If there is, create a medical certificate creation request list screen that prompts the doctor to create a medical certificate and send it to the doctor's terminal for display. Based on the medical certificate type ID in the medical certificate issuance request data, receiving the medical certificate creation start request input by the doctor using the sending means and the medical certificate creation request list screen displayed on the doctor terminal The image data is extracted from the certificate format image data file, the input item data of the certificate format is extracted from the medical certificate input item file, the image of the medical certificate form is displayed, and the input items displayed in the image are displayed. Correspondingly, create a medical certificate creation screen that allows entry of items and send it to the doctor's terminal for display, and a medical certificate creation screen sent from the doctor's terminal. The medical certificate creation data input is received, the medical certificate creation data is imported into the medical certificate format image data, and the medical certificate display screen is generated and displayed on the doctor terminal. Or a medical certificate generation display transmitting means for transmitting for printing, and a medical certificate registration request transmitted from the doctor terminal based on the transmitted medical certificate display screen, and receiving the medical certificate data as an electronic medical certificate file And an electronic medical certificate storage means for storing in association with the requested document ID.

  The medical institution server according to the second aspect of the present invention provides a medical certificate issuance including a medical certificate type ID that designates a patient ID / medical certificate format inputted in response to a medical certificate issuance request from a patient and medical data in charge. Request data is assigned a request document ID for each requested medical certificate, and a medical certificate issuance request data table stored for each requested document ID, and image data of the medical certificate format is stored in association with the medical certificate type ID. Diagnosis that accumulates the diagnostic item format image data file and the input item data including the input item number, the type of the input item, the contents of the input item, the position of the input item, and the size and size of the relevant item in association with the medical certificate type ID Search the medical certificate entry item file and the medical certificate issuance request data table, and create a medical certificate creation request list screen that prompts the doctor to create a medical certificate for each doctor in charge. The medical certificate creation request list screen display means to send to the doctor terminal for display and the medical certificate creation start request input by the doctor using the displayed medical certificate creation request list screen, Based on the medical certificate type ID in the issuance request data, the image data is extracted from the medical certificate format image data file, and the input item data of the medical certificate format is extracted from the medical certificate input item file. Using a medical certificate creation screen display means and a medical certificate creation screen to create and display a medical certificate creation screen that allows the user to input items corresponding to the displayed input items. The medical certificate creation data is received, the medical certificate creation data is imported into the medical certificate format image data, and the medical certificate display screen is displayed for display or printing. A medical certificate generation display unit that receives the medical certificate registration request input based on the medical certificate display screen, and stores the medical certificate data as an electronic medical certificate file in association with the requested document ID; It has.

  Furthermore, the medical institution server related to the second aspect of the present invention provides a diagnosis including a medical certificate type ID for designating a patient ID / medical certificate format inputted in response to a medical certificate issuance request from a patient, and medical doctor data in charge. A certificate issuance request data is assigned to each requested medical certificate, a medical certificate issuance request data table stored for each requested document ID, and image data of the relevant medical certificate format is associated with the medical certificate type ID. Accumulated medical certificate format image data file and input item data including input item number, input item type, input item content, input item position and size in association with the medical certificate type ID The medical certificate input item file to be received and the medical certificate creation start request input by the doctor are received, and based on the medical certificate type ID in the medical certificate issuance request data, The image data is extracted from the certificate format image data file, the input item data of the certificate format is extracted from the medical certificate input item file, the image of the medical certificate form is displayed, and the input items displayed in the image are displayed. Corresponding diagnosis data creation screen display means to create and display a medical certificate creation screen that enables entry of the corresponding items, and diagnostic certificate creation data received using the medical certificate creation screen are received and diagnosed Receives medical certificate format image data, captures medical certificate format image data, generates a medical certificate display screen for display or printing, and receives a medical certificate registration request input based on the medical certificate display screen And electronic medical certificate storage means for storing the medical certificate data in association with the requested document ID as an electronic medical certificate file.

  According to the configuration of the medical certificate creation support system or the medical institution server according to the second aspect described above, the doctor can input the medical certificate by inputting only necessary items with the sense of entering the actual medical certificate. Can be created. Furthermore, in the medical certificate creation support system or the medical institution server according to this aspect, the burden of data management regarding the medical certificate format and the medical certificate input items is small.

  In the medical certificate creation support system or medical institution server according to the second aspect, the medical institution server calls up an existing electronic medical certificate file stored in the electronic medical certificate file to create a new medical certificate. Based on the medical certificate type ID of the called existing electronic medical certificate file and the medical certificate type ID of the new medical certificate, both input item data are called from the medical certificate input item file, and both input items are compared. If the input item comparison means and the input item are the same as a result of the comparison, the existing electronic medical certificate citation diagnosis presets the input information of the existing electronic medical certificate input item to the input item on the new medical certificate creation screen. By further providing the certificate creation means, it is possible to easily create a new certificate using the data of the existing certificate.

  The medical certificate creation support system according to the first or second aspect relates medical related data including a patient's name, hospitalization date, discharge date, injury / illness name, and doctor name to a patient ID assigned to each patient, and A medical database that stores each data in a searchable form, and the medical institution server further receives a diagnosis creation start request or a doctor input by the doctor using the medical certificate creation request list screen displayed on the doctor terminal Necessary for creating a medical certificate by receiving an external data import request entered by a doctor using the medical certificate creation screen displayed on the terminal for the patient, accessing the medical database based on the patient ID in the medical certificate issuance request data Medical-related data transmission means for medical certificate creation screen, which extracts medical related data of the patient and transmits it to the doctor terminal for display on items in the medical certificate creation screen. If in, it is possible to further reduce the burden of input by the physician, creating a medical certificate is accurate can be performed more quickly.

  The medical institution server according to the first or second aspect receives a request for starting medical certificate creation or an external data capture request, and based on the patient ID in the medical certificate issuance request data, the patient's name, hospitalization date, and discharge date・ Access to a medical database that stores medical-related data including injury and illness names and doctor names in association with patient IDs assigned to each patient and stores each data in a searchable form. By providing medical-related data display means for the medical certificate creation screen that extracts medical-related data and displays it on items in the medical certificate creation screen, the burden of input by the doctor can be further reduced. Can be created more quickly and accurately.

  In the first or second medical certificate creation support system, the medical management terminal includes insurance business data input means for inputting insurance business data specifying the insurance business in the medical certificate issuance request data, and the insurance business operator A benefit invoice data input means for digitizing and inputting a benefit invoice addressed to and a benefit invoice data transmission means for transmitting the benefit invoice data to the medical institution server; , The encryption key file that stores the encryption key that is different for each insurance company in association with the insurance company name and the benefit invoice data received from the medical management terminal into the insurance company data included in the medical certificate issuance request data An electronic invoice file that is encrypted with an encryption key called from the encryption key file and is stored with an electronic invoice ID associated with the requested document ID as an electronic invoice In order to store the medical certificate data as an electronic medical certificate file, the medical certificate data is encrypted with the encryption key called from the encryption key file based on the insurance provider data included in the medical certificate issuance request data table. The corresponding electronic invoice and electronic medical certificate are called from the electronic invoice file and the electronic medical certificate file, respectively, based on the request data ID included in the medical certificate data encryption means and the medical certificate issuance request data table. And an electronic envelope uploading means for uploading to a relay server accessible by the insurance company as an electronic envelope, or an electronic envelope transmission means for sending to the insurance company's server. The electronic medical certificate and the electronic bill can be received in correspondence with each other in an encrypted and secure form.

Hereinafter, embodiments for carrying out the present invention will be described with reference to the drawings. The first embodiment is an embodiment related to a medical certificate creation support system, and the second embodiment is an embodiment related to a medical certificate creation support system different from the first embodiment, and is a third embodiment. The form is an embodiment having a function that can be received by an insurance company by further associating an electronic benefit bill and an electronic medical certificate with the medical certificate creation support system according to the first or second embodiment. In the fourth embodiment, insurance is provided by associating an electronic benefit certificate and an electronic medical certificate further with a medical certificate creation support system according to the first or second embodiment different from the third embodiment. This is an embodiment having a function that can be received by a business operator.

<First Embodiment>
FIG. 1 is a block diagram showing a schematic configuration of a medical certificate creation support system according to the first embodiment. As shown in FIG. 1, the medical certificate creation support system includes a medical management terminal 2, a medical institution server 3, a doctor terminal 4, and a medical database 5 that can communicate via a network (for example, a LAN or an intranet). It consists of and.

  The medical management terminal 2 is a computer installed in the medical department of a medical institution. The CPU 21 controls the operation of the entire computer including data input / output / recording / reading. A memory 22 for storing data and programs necessary for processing, a data input screen, a display unit 23 such as a CRT display or a liquid crystal display for displaying a screen transmitted from the medical institution server 3, a keyboard for inputting data, An input unit 24 such as a mouse, a storage unit 25 which is an external storage device such as a hard disk, an optical disk or a magneto-optical disk for storing data and programs, and a communication interface 26 for communicating with the medical institution server 3 and the like via a network. I have. In the present embodiment, the medical management terminal 2 mainly functions as a terminal for inputting basic data for requesting issuance of a medical certificate and transmitting it to the medical institution server 3.

  The doctor terminal 4 is a computer used by a doctor installed in a medical institution, and controls the operation of the entire computer including input / output / recording / reading of data, and a main storage device directly accessible by the CPU 41. A memory 42 for storing data and programs necessary for processing, a data input screen, a display unit 43 such as a CRT display or a liquid crystal display for displaying a screen transmitted from the medical institution server 3, and a keyboard for inputting data And an input unit 44 such as a mouse, a storage unit 45 which is an external storage device such as a hard disk, an optical disk or a magneto-optical disk for storing data and programs, and a communication interface 46 for communicating with the medical institution server 3 and the like via a network. It has. In the present embodiment, the doctor terminal 4 is a terminal connected to a network in a medical institution rather than a specific fixed terminal, and when an arbitrary doctor logs in, the doctor terminal 4 It will be. Then, when the doctor who is requested to issue the medical certificate logs in, a screen for prompting input from the medical institution server 3 is transmitted and displayed, and the medical institution server 3 stores the medical certificate creation data using the screen. Functions as a terminal for transmission.

  The medical institution server 3 is a central computer for executing a computer system in a medical institution. The CPU 31 that controls the operation of the entire computer including input / output / recording / reading of data is directly accessible by the CPU 31. A memory 32 that stores data and programs necessary for processing, a program storage area 36 that stores programs for executing various types of processing in the diagnostic certificate creation support system, and data that is referenced to execute programs A storage unit 35, which is an external storage device such as a hard disk, having a table storage area 37 for storing data and a data storage area 38 for accumulating data necessary for processing for creating a medical certificate, the medical management terminal 2 and the doctor terminal 4 And communication for communication with the medical database 5 through the network. It has an interface 39. The medical institution server 3 receives transmission of data relating to a medical certificate preparation request from the medical management terminal 2, receives transmission of medical certificate preparation data from the doctor terminal 4, and is converted into an electronic medical certificate (hereinafter referred to as “electronic medical certificate”). ”) Is created and saved. Data and programs stored in the storage unit 35 are loaded into the memory 32 as necessary, and the CPU 31 executes various processes in the medical certificate creation support system. Further, the medical institution server 3 is connected to the medical database 5, and acquires necessary data by accessing the medical database 5 as necessary.

  The medical database 5 is provided with medical-related data for each patient, such as a patient ID, a patient's name, a hospitalization date, a discharge date, a wound name, a doctor name, etc., registered by an electronic medical record system, for example. The database stores each data in a searchable form in association with the patient ID, and provides necessary data by access from the medical institution server 3.

Next, contents of programs, tables, and files stored in the storage unit 35 of the medical institution server 3 will be described with reference to FIG. In this medical certificate creation support system, main processes executed by the medical institution server 3 are processes described in AF below.
(A) Process for registering medical certificate issuance request data transmitted from the medical management terminal 2 (B) Diagnosis to the doctor terminal 4 to inform the doctor who has logged in at the doctor terminal 4 that there is a medical certificate preparation request (C) process for transmitting a certificate creation request list screen (C) receiving a medical certificate creation start instruction by a doctor and (D) receiving a medical certificate creation data from the doctor Processing to transmit the screen for displaying the created medical certificate to the doctor terminal 4 (E) Processing for receiving the registration instruction from the doctor and storing the created medical certificate as an electronic medical certificate (F) is required In response to this, the medical database 5 extracts medical-related data necessary for preparing the medical certificate and transmits it for the medical certificate creation screen. Programs 361 to 366 for executing these processes are stored in the program storage area 36. It is paid.

  Further, (A) a medical certificate issuance request table 371 for recording data registered by the process of registering medical certificate issuance request data transmitted from the medical management terminal 2, and (C) the doctor starts the preparation of the medical certificate. In the process of receiving the instruction and transmitting the medical certificate creation screen to the doctor terminal 4, all the medical certificate forms referred to for creating the screen displaying the input items required for the requested medical certificate creation The table storage area 37 stores a medical certificate creation correspondence table 372 that defines a correspondence between required items and items that need to be described for each medical certificate type.

  Further, in the process of (D) receiving the medical certificate creation data from the doctor and transmitting a screen for displaying the created medical certificate to the doctor terminal 4, the medical certificate created with the image of the actual medical certificate is displayed. Processing for receiving a medical certificate format data file 381 for storing a medical certificate format for each medical certificate type for display, and (E) receiving a registration instruction from a doctor and storing the generated medical certificate as an electronic medical certificate The electronic medical certificate file 382 for storing the electronic medical certificate is stored in the data storage area 38.

Next, the procedure of each of the above processes (A) to (E) will be described in more detail.

Processing (A)
The medical certificate issue request is accepted by the medical management terminal 2. Here, medical certificate issuance request data such as a medical certificate type ID, a patient ID, a patient name, a doctor in charge, a hospitalization date, a billing period, and the like specifying a medical certificate format requested to be issued are input. The medical certificate type ID is an ID for classifying all medical certificates issued by a medical institution, and can also be input by selecting the insurance company and the medical certificate type displayed by a pull-down menu or the like on the screen. About patient ID, you may make it read from a patient's examination ticket (diagnosis card), and also download data, such as a patient name corresponding to patient ID, a hospitalization date, a discharge date, from the medical database 5, and an input screen May be displayed.

  The medical certificate issuance request data input at the medical management terminal 2 is displayed on the medical certificate creation request registration screen for confirmation, and is transmitted to the medical institution server 3 by operating the registration button after confirmation. FIG. 5 shows an example of a medical certificate creation request registration screen. On this screen, the name of the doctor in charge, patient ID, patient name, hospitalization date, benefit request period (for example, when requesting hospitalization benefit after discharge, the discharge date is usually the hospitalization date from the hospitalization date. ), Medical certificate type (in the example of FIG. 5 is a request for issuing a medical certificate for requesting hospitalization benefits to both B Life and C Life insurance companies per hospitalization) .

  The medical institution server 3 assigns a request document ID for each requested medical certificate to the medical certificate issuance request data transmitted from the medical management terminal 2, and uses the request document ID as a primary key. It is stored in the issue request data table 371. FIG. 3 is a diagram showing an example of the medical certificate issuance request data table 371 (not all items are illustrated). The medical certificate creation request data displayed in FIG. 5 corresponds to the records of requested document IDs 00002 and 000003 in FIG. In this way, the requested document ID is numbered for each requested medical certificate, and even if it is a benefit claim for one hospitalization as shown in FIG. Certificate and C life certificate are requested to be issued, and a request document ID is assigned to each. On the other hand, the request ID shown in FIG. 3 is a code indicating the order of medical certificates requested at the same time. When a plurality of medical certificates are requested to be issued, the request IDs are sequentially displayed as 001, 002. Grant.

Note that the status item is provided for writing a code indicating the doctor's processing status of the requested medical certificate. In the example shown in FIG. 3, for example, “00” is unrequested, “01 “10” is not created, “10” is being created, “20” is modification required, “30” is waiting for receipt, “40” is waiting for delivery, and “50” is delivered.

Processing (B)
When a doctor logs in at the doctor terminal 4, the medical institution server 3 searches whether or not the doctor ID of the logged-in doctor is included in the doctor ID field in the medical certificate issuance request data table. In this case, the medical certificate request data requested by the doctor in charge is extracted for each request ID, and a medical certificate preparation request list screen displaying at least the patient ID, the patient name, and the status is created, and the doctor terminal is displayed for display. 4 to send. FIG. 6 is a diagram showing an example of this medical certificate creation request list screen. The medical certificate request data requested to be created by the doctor in charge includes patient ID, patient name, hospitalization date, medical certificate creation status ( Status data is reflected in this way) is provided on the list screen. Although the hospitalization date is displayed here, a creation time limit (for example, a time limit that is automatically set from the input date of the medical certificate issuance request data) may be displayed instead. When the doctor operates the “Create” button on this screen, a medical certificate creation start instruction is transmitted to the medical institution server 3.

The processing (A) and processing (B) described above are embodiments in which a request for issuing a medical certificate is received by the medical management terminal 2, but a doctor receives a request for issuing a medical certificate directly from the doctor terminal 4. An embodiment in which the medical certificate issue request data is input is also conceivable. In that case, the medical institution server 3 does not need to display the medical certificate creation request list screen on the doctor terminal 4, but can receive the input of the medical certificate issuance request data by the doctor and proceed to processing (C). Good.

Processing (C)
Upon receiving an instruction for a medical certificate creation start request from the doctor terminal 4, the medical institution server 3 sends a medical certificate to the doctor terminal 4 based on the medical certificate type ID in the selected medical certificate issuance request data. The creation correspondence table 372 is searched to create a medical certificate creation screen in which only necessary items for the requested medical certificate are displayed as input items, and transmitted to the doctor terminal 4 for display. FIG. 4 shows an example of the medical certificate creation correspondence table 372. The medical certificate creation correspondence table 372 manages input items of all types of medical certificates issued by medical institutions. In FIG. 4, the input items are input in the order of a, b, c, d,. An item is set, and this input item is unique. Whether or not this input item is a necessary input item for each medical certificate type ID (indicated by AA001, AA002, BB001, BB002,... In FIG. 4). Is defined. In the example of FIG. 4, an item that needs to be input for each type of medical certificate is indicated by “◯”, and an item that does not need to be input is indicated by “×”, but actually, for example, a field corresponding to “○” A flag is set for “”, and control is performed so that no flag is set for the field corresponding to “x”.

FIG. 7 shows an example of a medical certificate creation screen. The medical certificate creation screen is a common screen for inputting all types of medical certificate creation data. The medical institution server 3 accesses the medical certificate creation correspondence table based on the requested medical certificate type ID, and is unnecessary for the requested medical certificate among all input items displayed on the medical certificate creation screen. A medical certificate creation screen is created in which no input items are masked or displayed and transmitted to the doctor terminal 4 for display. Therefore, a doctor can create a medical certificate if he / she inputs only necessary items without being aware of the difference of input items for each medical certificate. This function is particularly effective in reducing the labor of the doctor, particularly when the patient requests to issue two or more medical certificates at the same time. That is, the medical institution server accesses the medical certificate creation correspondence table based on the requested medical certificate type IDs, and does not mask or display only unnecessary input items common to the requested medical certificates. By providing the doctor's terminal 4 with such a single medical certificate creation screen, the doctor can input data for issuing a plurality of medical certificates by one input without being conscious of a plurality of medical certificate formats. Therefore, it is possible to significantly reduce the doctor's effort to create a medical certificate.

Processing (D)
The doctor finishes inputting necessary items on the medical certificate creation screen displayed on the doctor terminal 4 and, for example, the save button displayed in the bottom column of the medical certificate creation screen shown in FIG. Is operated, the medical certificate creation data input to the medical institution server 3 is transmitted. The medical institution server 3 that has received the medical certificate creation data accesses the medical certificate format data file 381 that stores the medical certificate format for each medical certificate type in order to display the medical certificate created with the image of the actual medical certificate form. Then, by extracting the corresponding medical certificate format data and writing the transmitted medical certificate creation data, a medical certificate display screen for displaying the completed medical certificate is generated and transmitted to the doctor terminal 4 . FIG. 8 is a diagram showing an example of the medical certificate display screen, and the doctor can confirm the contents of the medical certificate on the medical certificate display screen. When the doctor confirms the contents of the medical certificate and makes an input for instructing an electronic medical certificate registration request to the medical institution server (in FIG. 7, the OK button at the bottom of the screen is operated), the electronic signature of the doctor is executed. In addition, the medical certificate data with the electronic certificate is transmitted to the medical institution server 3 together with the electronic medical certificate registration request.

When issuing a medical certificate in paper form, check the contents of the medical certificate on the medical certificate display screen and operate the print button to print out the medical certificate. That's fine.

Processing (E)
The medical institution server 3 that has received the medical certificate registration request from the doctor terminal 4 stores the medical certificate data attached with the electronic signature data in the electronic medical certificate file 382 in association with the requested document ID as an electronic medical certificate.

Processing (F)
In addition, when generating the medical certificate creation screen, the medical institution server 3 accesses the medical database 5 based on the patient ID, acquires data necessary as input items from the medical related data in the medical database 5 in advance, and acquires the medical certificate. If it is made to display on a creation screen, the effort of the data input item by a doctor can be reduced.

  In addition, after a medical certificate creation screen that does not capture medical-related data from the medical database 5 is transmitted from the medical institution server 3 to the doctor terminal 4, it is displayed in the bottom column of the medical certificate creation screen illustrated in FIG. When the doctor operates the external data capture button, the external data capture request instruction is transmitted to the medical institution server 3, and the medical institution server 3 that has received the external data capture request is required from the medical database 5. You may make it take medical related data and transmit to the terminal 4 for doctors in order to display on a medical certificate preparation screen.

However, in a medical institution that has not yet introduced a system for constructing a medical database such as an electronic medical record system, these items may be directly input by a doctor.

<Second Embodiment>
In the second embodiment, the overall flow of each process is the same as that in the first embodiment, but the process (C) described in the first embodiment receives an instruction to start creating a medical certificate. The process of transmitting the medical certificate creation screen to the doctor terminal 4 and the process (D) The process of receiving the medical certificate creation data from the doctor and transmitting the screen displaying the created medical certificate to the doctor terminal 4 The contents of the process (that is, the program) and the data and files prepared for executing the process are different from those of the first embodiment.
Note that other processing procedures and data to be used are the same as those in the first embodiment, and therefore, description thereof is omitted, and only processing (C) and processing (D) will be described in detail. .

Processing (C)
FIG. 9 is a diagram showing the contents of the storage unit 35 in the second embodiment. Since the contents of the processing (C) and processing (D) programs are different from those of the first embodiment, FIG. 9 shows a medical certificate creation screen transmission program 367 and a medical certificate generation display transmission processing program 368 as shown in FIG. Different reference numbers are given for display. The medical certificate format image file 383 and the medical certificate input item file 384 are set to generate the medical certificate creation screen and the medical certificate display screen.

  Here, the medical certificate format image file 383 holds an image file of the medical certificate format for each medical certificate type. This image file is generated from a PDF file which is obtained from a medical institution format by taking a medical certificate format. The medical certificate input item file is a file that holds data about the input item for each medical certificate type. Specifically, the input item number (unique), the type of the input item (text information / circle) Item)-Contents of input item (eg "patient name", etc.)-Data on the position and size of the item on "medical certificate format image file" is held.

FIG. 10 is a diagram showing an outline of the process (C) and the process (D) in the second embodiment.
When the doctor sends a medical certificate creation start request to the medical institution server 3 by using the medical certificate creation request list screen displayed on the doctor terminal 4, the medical institution server 3 stores the medical certificate type in the medical certificate issuance request data. Based on the ID, the medical certificate format image data file 383 is accessed, and the corresponding medical certificate format image data is extracted and displayed as a medical certificate creation screen. On the other hand, the medical institution server 3 extracts the medical certificate input item data of the medical certificate form on the basis of the medical certificate type ID, and the doctor determines each of the input item type, the position and size of the input item, and A medical certificate creation screen is generated so that items can be input and transmitted to the doctor terminal 4.

Processing (D)
On the medical certificate preparation screen displayed on the doctor terminal 4 by the doctor, the input to the necessary items is terminated, and for example, when the doctor operates the save button, the medical certificate preparation data input to the medical institution server 3 is displayed. When transmitted, the medical institution server 3 that has received the medical certificate creation data accesses the actual medical certificate format image data file 383, extracts the corresponding medical certificate format image data, and transmits the transmitted medical certificate creation data. By writing, a medical certificate display screen for displaying the completed medical certificate is generated and transmitted to the doctor terminal 4. The doctor can confirm the contents of the medical certificate on this medical certificate display screen. When the doctor confirms the contents of the medical certificate and inputs an instruction to request the electronic medical certificate registration request to the medical institution server, the electronic signature of the doctor is executed and the medical certificate data with the electronic certificate is requested to register the electronic medical certificate At the same time, it is transmitted to the medical institution server 3.

In this second embodiment, the image data of the requested medical certificate is displayed and the doctor is made to input each item. Therefore, when creating a single medical certificate, the conventional method is used. The doctor can input the medical certificate with the sense of creating a medical certificate. On the other hand, when a patient requests creation of a plurality of medical certificates at once, it is very inefficient to create a medical certificate by inputting all items for each medical certificate requested by a doctor. Therefore, in the second embodiment, when a new medical certificate is created, an electronic medical certificate file created and registered in the past can be used. This function is characterized in that past medical certificate creation data can be used even if they are not of the same medical certificate type.

  FIG. 11 is a diagram showing an outline of this function. The medical institution server 3 displays an operation button for quoting an existing electronic medical certificate file stored in the electronic medical certificate file in order to create a new medical certificate on the medical certificate creation screen. When the doctor operates this operation button, the medical institution server 3 accesses the medical certificate issuance request data table 371 in response to the citation request transmitted from the doctor terminal 4, and based on the doctor ID of the doctor, Calls the medical certificate data created in the past, creates a list display screen, and transmits it to the doctor terminal 4 for display. When the doctor selects a medical certificate that the doctor desires to quote on the screen at the doctor terminal 4, the selection instruction is transmitted to the medical institution server 3, and the medical institution server 3 selects the corresponding electronic certificate from the electronic medical certificate file 382 based on the requested document ID. The medical certificate file is extracted and transmitted to the doctor terminal 4 for display.

  When the doctor confirms the medical certificate quoted by the doctor terminal 4 and operates the quotation determination button, the medical institution server 3 that has received the quotation determination instruction reads the medical certificate type ID of the called electronic medical certificate file and the doctor Based on the medical certificate type ID of the medical certificate to be newly created, both input item data are called from the medical certificate input item file 384 and the contents of both input items are compared. If the contents of the input items are the same as a result of the comparison, the information input in the input items of the existing electronic medical certificate is preset in the input items of the new medical certificate creation screen.

This function is particularly effective in reducing the labor of the doctor, particularly when the patient requests to issue two or more medical certificates at the same time. In the case of the first embodiment, it is necessary to manage the input items necessary for creating all the medical certificates and reflect them on the medical certificate creation screen. Cost of maintenance. In the second embodiment, the input items are managed for each medical certificate type, and a common input item can be quoted between the medical certificates, so that the maintenance is easier than in the first embodiment. There is.

<Third Embodiment>
In the third embodiment, the insurance certificate creation support system according to the first or second embodiment is further provided with a function that can be received by an insurance company by associating a digitalized benefit claim with an electronic certificate. It is an embodiment. Hereinafter, the third embodiment will be described with reference to FIG.
The basic configuration of the medical certificate creation support system according to the third embodiment is the same as that of the first or second embodiment shown in FIG. 1, FIG. 2 or FIG. Although comprised by the terminal 4 and the medical institution server 3, FIG. 12 was made to show centering on the component which should be further equipped in order to implement 3rd Embodiment. Also in the following description, components common to the first or second embodiment will be omitted, and description will be made focusing on specific components for implementing the third embodiment.

  In this embodiment, in order for an insurance business operator to start the procedure for claiming a benefit, a diagnosis that has been issued by a medical institution by filling in a benefit bill that a patient has received from the insurance business conventionally has been provided. Instead of the procedure that was sent to the insurance company along with the certificate, the medical institution encrypts the digitalized benefit bill and the medical certificate, and then the insurance company automatically receives them by associating the two. It is to make. Accordingly, the medical management terminal 2 that accepts a request for issuing a medical certificate requires a means 24a for inputting the medical certificate issuance request data and digitizing the benefit bill and transmitting it to the medical institution server 3. As a means of digitizing the benefit bill, for example, the benefit bill in which the patient has filled in the necessary information may be read with a scanner and converted into image data, or the medical staff may view the handwritten benefit bill. Alternatively, it may be entered in a predetermined form while listening to necessary information from the patient, or may be read by filling in an OCR sheet or the like. The benefit invoice data digitized by any method is transmitted to the medical institution server 3 together with the medical certificate issuance request data.

  Further, as will be described later, since the benefit invoice or electronic medical certificate is encrypted with a different encryption key for each insurance business operator, in addition to the medical certificate type, data specifying the insurance business operator (hereinafter “ "Insurer data") must be included in the medical certificate issuance request data. As means 24b for inputting insurance business operator data, it may be input individually when inputting medical certificate issuance request data, or when the medical certificate classification ID is coded as an ID for identifying the insurance business operator May be read from the medical certificate type ID. Further, a mark or bar code for identifying an insurance business operator displayed at a specific location on the benefit invoice may be read by a scanner or the like.

  Next, the medical institution server 3 that has received the benefit invoice data from the medical management terminal 2 associates an encryption key that is different for each insurer with the insurer name in order to encrypt the benefit invoice data. An encryption key file 38a to be stored and a benefit invoice encryption program 36a are provided. Then, the encryption key file 38a is accessed based on the insurance company data included in the medical certificate issuance request data transmitted from the medical management terminal 2, the corresponding encryption key is extracted, the benefit invoice is encrypted, The electronic bill is stored in the electronic bill file 38b in association with the requested document ID.

  Similarly, the medical certificate data input to the doctor terminal 4 and transmitted to the medical institution server 3 is encrypted using the encryption key extracted from the encryption key file 38a based on the insurance business operator data. It is encrypted by the program 36b and stored in the electronic medical certificate file 38c in association with the requested document ID.

  Furthermore, the medical institution server 3 uses the electronic envelope upload program 36c or the electronic envelope transmission program 36d to generate a corresponding electronic bill and electronic diagnosis from the electronic bill file 38b and the electronic diagnostic file 38c based on the requested document ID. And is stored in one electronic folder (hereinafter referred to as “electronic envelope”) and uploaded to the relay server 6 accessible by the insurance provider server 8 or directly to the insurance provider server 8 Send. The uploaded electronic envelope is stored in a storage area of the relay server 6 for each insurance company. In that case, the relay server 6 transmits an e-mail notifying the upload to the insurance company server 8 for each insurance company. The e-mail may be addressed to the person in charge at the reception desk of the insurance company.

  When the electronic envelope is downloaded from the insurance company server 8, the relay server 6 deletes the electronic envelope from the storage area. Since the relay server 6 is accessible to the medical institution server 3 and the insurance provider server 8 when necessary, the relay server 6 is in an open state in which either the medical institution server 3 or the insurance provider server 8 can be always received. Therefore, security can be improved for the medical institution server 3 and the insurance provider server 8.

  The certificate authority server 7 gives the doctor terminal 4 a certificate necessary for an electronic signature for authenticating that the electronic certificate created by the doctor terminal 4 is created by the doctor, An inquiry about whether or not the electronic signature is authentic is received from the business server 8, the authenticity of the electronic signature is returned, and whether or not the electronic signature revocation procedure has been performed is returned.

In the present embodiment, the benefit invoice and the electronic diagnosis are encrypted by the medical institution server 3, but may be encrypted by the medical management terminal 2 and the doctor terminal 4, respectively. In this case, the encryption key is provided from the medical institution server 3.

<Fourth Embodiment>
Next, a fourth embodiment will be described with reference to FIG. Whereas in the third embodiment, the medical care management terminal 2 accepts a claim for a benefit from a patient, the fourth embodiment provides a bill acceptance server 9 that accepts a claim for a benefit from a patient. Yes. The bill receiving server 9 has established a website for accepting benefit claims on the Internet, and the patient can access the website and display a display screen on which the patient claim 10 (for example, benefit claim data can be input). , And can be downloaded to a personal computer at home). Hereinafter, the process until the benefit request is received and registered in the medical institution server 3 will be described.

  First, the patient logs in to the bill receiving server 9 by inputting using a password, an IC card, or the like (for that purpose, the patient is preliminarily registered as a user in the bill receiving server 9). In response to the login, the invoice receiving server 9 displays, on the patient terminal 10, a screen for inputting the insurance company name and contract number of the insurance subject to the claim, that is, data for specifying the insurance contract. Display. When the data of the insurance company name and the contract number is transmitted from the patient terminal 10, the invoice receiving server 9 confirms the contents of the insurance contract with the insurance company server 8 of the insurance company. Is sent, and the insurance content server 8 waits for confirmation of insurance details. Upon confirming the contents of the insurance contract, the insurance company server 8 transmits data indicating the contents of the insurance contract to the invoice receiving server 9. Based on the data transmitted from the insurance company server 8, the bill reception server 9 causes the patient terminal 10 to display a screen for inputting data regarding the benefit claim. Using the screen, the benefit request data, specifically, data such as the name of the medical institution and the target period can be input from the patient terminal 10 and transmitted to the bill receiving server 9. The bill reception server 9 that has received the benefit claim data from the patient terminal 10 extracts the encryption key of the insurance company from the encryption key file holding the encryption key that is different for each insurance company, and requests the benefit Data is encrypted as an electronic invoice, a request document ID is given, and the data is transmitted to the medical institution server 3 for registration. The subsequent processing is the same as the processing described in the first, second, and third embodiments.

  According to the fourth embodiment, the electronic invoice registration process is executed for each medical institution. However, since that part is performed by the claim receiving server 9, the paperwork of the medical institution can be greatly reduced. . Further, although the claim is accepted via the Internet, it can be secured by confirming the claimant's reliability with the insurance company server 8.

Finally, when the insurance company server 8 receives an e-mail indicating that a new electronic envelope has been uploaded from the relay server 6 and accesses the URL described in the received e-mail, the user ID and password must be entered. Next, the displayed new electronic envelope list screen will be described with reference to FIG. FIG. 14 shows an example of a new electronic envelope list screen in the insurance company server 8.
In the insurance company server 8, as shown in FIG. 14, the electronic envelope newly uploaded to the relay server 6 is displayed in a list of medical institution names and file names, and “download” and “cancel” are displayed at the bottom of the screen. The button is provided. Here, when the “download” button is clicked, the download of the electronic envelope is started, and when the “cancel” button is clicked, the electronic envelope is not downloaded.

  Next, a display screen when the insurance company server 8 confirms reception of a billing document such as a benefit will be described with reference to FIG. FIG. 15 is a diagram showing an example of a billing document reception screen in the insurance company server 8.

  When the electronic medical certificate is created, the medical institution server 3 uploads the electronic bill of benefit and the corresponding electronic medical certificate to the relay server 6, and at the same time, the relay server 6 becomes the destination. An e-mail notifying that the electronic invoice and the electronic medical certificate have been uploaded to the relay server 6 is transmitted to the insurance provider server 8. In the e-mail, a URL for storing an electronic bill and an electronic diagnosis addressed to the insurance company is described.

  Upon receiving the e-mail, the insurance company server 8 accesses the relay server 6 based on the URL, downloads the electronic envelope addressed to the insurance company, and displays a billing document acceptance confirmation screen as shown in FIG. Is displayed.

  As shown in FIG. 15, the billing document acceptance screen displays a list of invoices and medical certificates addressed to the insurance company, the claimant, the date of acceptance, OK / NG of the verification result, electronic A print button for each of the bill and the electronic medical certificate is displayed. Here, whether or not the electronic signature attached to the medical certificate is valid is verified by the insurance company server 8, and the result is shown as a “verification result” on the billing document reception confirmation screen. Yes. If the verification result is “OK”, the medical certificate is valid, but if the verification result is “NG”, the medical certificate is invalid and the billing itself is invalid, and printing is impossible. Is.

  Then, in the billing list on the billing document acceptance confirmation screen shown in FIG. 15, when any bill or medical certificate whose verification result is “OK” is selected and the “print” button is clicked, the selected one is selected. The benefit invoice data or medical certificate data is once displayed, and the invoice or medical certificate is printed. The printed bill or medical certificate is deleted from the list display on the billing document acceptance confirmation screen of FIG.

  In the present system, a paper medium is assumed for the invoice, but it may be a benefit claim using an IC card or the like instead of the paper medium. In this case, password authentication and biometric authentication may be performed in order to authenticate that the request is made by the principal. In this system, the relay server 6 is provided to perform the relay process, but the medical institution server 3 may directly transmit the electronic envelope to the insurance company server 8.

  Further, in this system, the doctor terminal 4 performs an electronic signature for each doctor, but the medical institution server 3 may collectively perform an electronic signature on behalf of the medical institution. When the medical institution server 3 collectively performs the electronic signature, the medical institution can simplify the system configuration and reduce costs. Whether or not it is a medical certificate created by the doctor himself / herself is maintained because the doctor authenticates by entering the doctor's ID and password when accessing the network in the medical institution. It is.

A specific configuration for implementing the medical certificate creation support system according to the present invention will be described with reference to FIG. As shown in FIG. 16, at University A hospital, a medical management terminal (patient terminal) 2 connected to a scanner 1 for reading a benefit bill, a medical department A doctor terminal 4, and a medical department B doctor terminal 4, the in-hospital server 3, and the in-hospital information database 5 are connected via the in-hospital LAN.
You are connected to the Internet via an Area Network.

  In Hospital B, a medical management terminal (patient terminal) 2 to which the scanner 1 is connected, a doctor terminal 4 and an in-hospital server 3 are connected by an in-hospital LAN, and further connected to the Internet via an ADSL modem. Yes. The reason why hospital B does not have a medical database is that medical information is not yet managed by the database.

  In the C insurance company, the insurance company server 8 is connected to the internal LAN, and is further connected to the Internet via the in-house WAN.

  The certificate authority server 7 is also connected to the Internet.

  In the configuration of the embodiment as described above, the system according to the present invention is realized.

  The technology according to the present invention can be used not only for medical certificate issuance work in a medical institution but also for work of an institution that issues various certificates and certificates.

It is a block diagram which shows schematic structure of the medical certificate preparation assistance system which concerns on 1st Embodiment. It is a block diagram which shows the program table file stored in the memory | storage part of the medical institution server which concerns on 1st Embodiment. It is a figure which shows the example of the content of the medical certificate issue request data table. It is a figure which shows the example of the content of the medical certificate preparation corresponding table. It is a figure which shows the example of a medical certificate preparation request registration screen. It is a figure which shows the example of a medical certificate preparation request list screen. It is a figure which shows the example of a medical certificate preparation screen. It is a figure which shows the example of a medical certificate display screen. It is a block diagram which shows the program table file stored in the memory | storage part of the medical institution server which concerns on 2nd Embodiment. It is a figure explaining the flow of a process of the medical institution server which concerns on 2nd Embodiment. It is a figure explaining the content of the process of the medical institution server which concerns on 2nd Embodiment. It is a block diagram which shows the structure of the medical certificate preparation assistance system which concerns on 3rd Embodiment. It is a block diagram which shows the structure of the medical certificate preparation assistance system which concerns on 4th Embodiment. It is a figure which shows the example of a new electronic envelope list screen. It is a figure which shows the example of a bill document reception confirmation screen. It is a block diagram which shows the structure of an Example.

Explanation of symbols

2 Medical management terminal 3 Medical institution server 4 Doctor's terminal 5 Medical database 6 Relay server 7 Certification authority server 8 Insurance company server 9 Invoice reception server 10 Patient terminal

Claims (10)

Including a medical institution server, medical management terminal, and doctor terminal that can communicate with each other through a network,
Medical management terminal
A medical certificate issuance request data input means for receiving a medical certificate issuance request data including a medical certificate issuance request data including a medical certificate type ID for specifying a patient ID and a medical certificate form and a medical doctor in charge;
A medical certificate issuance request data transmission means for transmitting the inputted medical certificate issuance request data to the medical institution server;
Doctor's terminal
A medical certificate that logs in to a medical institution server by inputting a password by a doctor and transmits data necessary for preparing a medical certificate to the medical institution server using a display screen created and transmitted for the doctor transmitted from the medical institution server With creation data transmission means,
Medical institution server
The medical certificate issuance request data received from the medical management terminal is assigned a request document ID for each requested medical certificate, and is stored for each requested document ID;
A medical certificate creation correspondence table that accumulates the presence / absence of entry of items for each medical certificate type ID for all the medical certificate creation items,
A medical certificate format data file for storing the medical certificate format data in association with the medical certificate type ID;
Receiving the login of the doctor's terminal, searching the medical certificate issuance request data table based on the name of the doctor who logged in, and if there is medical certificate issuance request data for that doctor name, creating a medical certificate that prompts the doctor to create a medical certificate Creating a request list screen and sending it to a doctor's terminal for display;
A medical certificate creation correspondence table is received based on the medical certificate type ID in the medical certificate issuance request data by receiving a medical certificate creation start request input by the doctor using the medical certificate creation request list screen displayed on the doctor terminal A medical certificate creation screen transmitting means for creating a medical certificate creating screen that displays only the input items corresponding to the medical certificate form and transmitting it to the doctor terminal for display;
By receiving the medical certificate creation data entered using the medical certificate creation screen sent from the doctor's terminal, extract the corresponding format data from the medical certificate format data file and writing the medical certificate creation data. A medical certificate generation display transmission means for generating a display screen and transmitting it to the doctor terminal for display or printing;
An electronic medical certificate storage means for receiving a medical certificate registration request transmitted from the doctor terminal based on the transmitted medical certificate display screen and storing the medical certificate data as an electronic medical certificate file in association with the requested document ID; Prepared,
Medical certificate creation support system. The medical certificate issuance request data including the medical certificate type ID that specifies the patient ID and the medical certificate format entered in response to the medical certificate issuance request from the patient and the medical data in charge, and the requested document ID for each requested medical certificate A medical certificate issuance request data table that is assigned and accumulated for each requested document ID;
A medical certificate creation correspondence table that accumulates the presence / absence of entry of items for each medical certificate type ID for all the medical certificate creation items,
A medical certificate format data file that stores the medical certificate format data in association with the medical certificate type ID;
A medical certificate issuance request data table is searched, a medical certificate creation request list screen is created and displayed for each doctor in charge to create a medical certificate creation request list screen;
Receiving a medical certificate creation start request input by a doctor using the displayed medical certificate creation request list screen, search the medical certificate creation correspondence table based on the medical certificate type ID in the medical certificate issuance request data, A medical certificate creation screen creation display means for creating and displaying a medical certificate creation screen that displays only the input items corresponding to the medical certificate form;
By receiving the medical certificate creation data input using the medical certificate creation screen, extracting the corresponding format data from the medical certificate format data file and writing the medical certificate creation data, display or print the medical certificate display screen. Medical certificate generation display means for generating
An electronic medical certificate storage means for receiving a medical certificate registration request input based on a medical certificate display screen and storing the medical certificate data in association with the requested document ID as an electronic medical certificate file;
Medical institution server. The medical certificate issuance request data including the medical certificate type ID that specifies the patient ID and the medical certificate format entered in response to the medical certificate issuance request from the patient and the medical data in charge, and the requested document ID for each requested medical certificate A medical certificate issuance request data table that is assigned and accumulated for each requested document ID;
A medical certificate creation correspondence table that accumulates the presence / absence of entry of items for each medical certificate type ID for all the medical certificate creation items,
A medical certificate format data file that stores the medical certificate format data in association with the medical certificate type ID;
Receives a medical certificate creation start request input by a doctor, searches the medical certificate creation correspondence table based on the medical certificate type ID in the medical certificate issuance request data, and displays only the input items corresponding to the medical certificate form A medical certificate creation screen creation display means for creating and displaying a medical certificate creation screen to be displayed;
By receiving the medical certificate creation data input using the medical certificate creation screen, extracting the corresponding format data from the medical certificate format data file and writing the medical certificate creation data, display or print the medical certificate display screen. Medical certificate generation display means for generating
An electronic medical certificate storage means for receiving a medical certificate registration request input based on a medical certificate display screen and storing the medical certificate data in association with the requested document ID as an electronic medical certificate file;
Medical institution server. Including a medical institution server, medical management terminal, and doctor terminal that can communicate with each other through a network,
Medical management terminal
A medical certificate issuance request data input means for receiving a medical certificate issuance request data including a medical certificate issuance request data including a medical certificate type ID for specifying a patient ID and a medical certificate form and a medical doctor in charge;
A medical certificate issuance request data transmission means for transmitting the inputted medical certificate issuance request data to the medical institution server;
Doctor's terminal
A medical certificate that logs in to a medical institution server by inputting a password by a doctor and transmits data necessary for preparing a medical certificate to the medical institution server using a display screen created and transmitted for the doctor transmitted from the medical institution server With creation data transmission means,
Medical institution server
The medical certificate issuance request data received from the medical management terminal is assigned a request document ID for each requested medical certificate, and is stored for each requested document ID;
A medical certificate format image data file for storing image data of the medical certificate format in association with the medical certificate type ID;
A medical certificate input item file for storing input item data including the input item number, the type of the input item, the content of the input item, the position and size of the input item in association with the medical certificate type ID,
Receiving the login of the doctor's terminal, searching the medical certificate issuance request data table based on the name of the doctor who logged in, and if there is medical certificate issuance request data for that doctor name, creating a medical certificate that prompts the doctor to create a medical certificate Creating a request list screen and sending it to a doctor's terminal for display;
Receives a medical certificate creation start request input by a doctor using the medical certificate creation request list screen displayed on the doctor terminal, and based on the medical certificate type ID in the medical certificate issuance request data, the medical certificate format image data The image data is extracted from the file, the input item data in the medical certificate format is extracted from the medical certificate input item file, the image of the medical certificate form is displayed, and an item corresponding to the input item displayed in the image is displayed. A medical certificate creation screen transmission means for creating a medical certificate creation screen that enables the input of and transmitting to a doctor terminal for display;
Receives the medical certificate creation data input using the medical certificate creation screen transmitted from the doctor terminal, imports the medical certificate creation data into the medical certificate format image data, generates the medical certificate display screen, and generates the medical certificate display screen A medical certificate generation display transmission means for transmitting the data for display or printing;
An electronic medical certificate storage means for receiving a medical certificate registration request transmitted from the doctor terminal based on the transmitted medical certificate display screen and storing the medical certificate data as an electronic medical certificate file in association with the requested document ID; Prepared,
Medical certificate creation support system. The medical certificate issuance request data including the medical certificate type ID that specifies the patient ID and the medical certificate format entered in response to the medical certificate issuance request from the patient and the medical data in charge, and the requested document ID for each requested medical certificate A medical certificate issuance request data table that is assigned and accumulated for each requested document ID;
A medical certificate format image data file for storing image data of the medical certificate format in association with the medical certificate type ID;
A medical certificate input item file for storing input item data including the input item number, the type of the input item, the content of the input item, the position and size of the input item in association with the medical certificate type ID,
Search the medical certificate issuance request data table, create a medical certificate creation request list screen that prompts the doctor to create a medical certificate for each doctor in charge, and send it to the doctor terminal for display. Means,
A medical certificate creation start request input by a doctor is received using the displayed medical certificate creation request list screen, and the image is read from the medical certificate format image data file based on the medical certificate type ID in the medical certificate issuance request data. In addition to extracting data, the input item data of the relevant medical certificate format is extracted from the medical certificate input item file, the image of the medical certificate form is displayed, and items can be input corresponding to the displayed input items. Medical certificate creation screen display means for creating and displaying the created medical certificate creation screen,
Medical certificate generation display means for receiving the medical certificate generation data input using the medical certificate generation screen, taking the medical certificate generation data into the medical certificate format image data, and generating the medical certificate display screen for display or printing When,
An electronic medical certificate storage means for receiving a medical certificate registration request input based on the medical certificate display screen and storing the medical certificate data in association with the requested document ID as an electronic medical certificate file;
Medical institution server. The medical certificate issuance request data including the medical certificate type ID that specifies the patient ID and the medical certificate format entered in response to the medical certificate issuance request from the patient and the medical data in charge, and the requested document ID for each requested medical certificate A medical certificate issuance request data table that is assigned and accumulated for each requested document ID;
A medical certificate format image data file for storing image data of the medical certificate format in association with the medical certificate type ID;
A medical certificate input item file for storing input item data including the input item number, the type of the input item, the content of the input item, the position and size of the input item in association with the medical certificate type ID,
Upon receiving a medical certificate creation start request inputted by a doctor, based on the medical certificate type ID in the medical certificate issuance request data, the image data is extracted from the medical certificate format image data file, and from the medical certificate input item file Extract the input item data of the medical certificate format, display the image of the medical certificate form, and create and display the medical certificate creation screen that allows you to input items corresponding to the displayed input items A medical certificate creation screen display means,
Medical certificate generation display means for receiving the medical certificate generation data input using the medical certificate generation screen, taking the medical certificate generation data into the medical certificate format image data, and generating the medical certificate display screen for display or printing When,
An electronic medical certificate storage means for receiving a medical certificate registration request input based on the medical certificate display screen and storing the medical certificate data in association with the requested document ID as an electronic medical certificate file;
Medical institution server.   The medical institution server calls a means for calling an existing electronic medical certificate file stored in the electronic medical certificate file to create a new medical certificate, a medical certificate type ID of the called existing electronic medical certificate file, Based on the medical certificate type ID of the new medical certificate, both input item data is called from the medical certificate input item file and compared with both input items. 6. The medical certificate creation according to claim 5, further comprising an existing medical certificate citation medical certificate creation means for presetting input information of an input item of an existing electronic medical certificate as an input item on a medical certificate creation screen of a new medical certificate. A medical institution server according to claim 6 or a support system. A medical database that stores medical-related data including the patient's name, hospitalization date, discharge date, injury and illness name, and physician name in association with the patient ID assigned to each patient and stores each data in a searchable form. A medical certificate creation support system,
The medical institution server further
Receives a diagnosis creation start request entered by the doctor using the medical certificate creation request list screen displayed on the doctor terminal or an external data import request entered by the doctor using the medical certificate creation screen displayed on the doctor terminal In order to access the medical database based on the patient ID in the medical certificate issuance request data, extract the relevant medical data of the patient necessary for the medical certificate creation, and display it on the item in the medical certificate creation screen Equipped with medical-related data transmission means for the medical certificate creation screen, which is transmitted to the doctor terminal.
The medical certificate preparation support system according to claim 1 or 4. The medical institution server receives a medical certificate creation start request or an external data capture request, and includes the patient's name, hospitalization date, discharge date, injury / illness name, doctor name based on the patient ID in the medical certificate issuance request data Access to a medical database that associates medical-related data with a patient ID assigned to each patient and stores each data in a searchable form, and extracts medical-related data of the patient necessary for creating a medical certificate, The medical-related data display means for the medical certificate creation screen, which is displayed on an item in the medical certificate creation screen, is further provided.
The medical institution server in any one of Claim 2, Claim 3, Claim 5, or Claim 6. Medical management terminal
Insurance company data input means for entering insurance company data for specifying an insurance company in medical certificate issuance request data; and
Benefit invoice data input means for electronically inputting benefit invoices addressed to insurance companies,
A benefit invoice data transmission means for transmitting the benefit invoice data to the medical institution server;
Further comprising
Medical institution server
An encryption key file for storing a different encryption key for each insurer in association with the insurer name;
The benefit invoice data received from the medical management terminal is encrypted with the encryption key called from the encryption key file based on the insurance company data included in the medical certificate issuance request data, and associated with the requested document ID as an electronic invoice An electronic invoice file that is stored with an electronic invoice ID assigned;
Medical certificate data is encrypted with an encryption key called from the encryption key file based on the insurance company data included in the medical certificate issuance request data table in order to store the medical certificate data as an electronic medical certificate file. Data encryption means;
Based on the request document ID included in the medical certificate issuance request data table, the corresponding electronic invoice and electronic medical certificate are called from the electronic invoice file and electronic medical certificate file, respectively, and stored in one folder as an electronic envelope An electronic envelope uploading means for uploading to a relay server accessible by an insurance company, or an electronic envelope sending means for sending to an insurance company's server,
A medical certificate creation support system according to any one of claims 1, 4, and 8.

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